bilateral talipes ( clubfeet )

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bilateral talipes ( clubfeet )

bilateral talipes ( clubfeet )
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I have just had an enquiry from a customer wishing to start who's little boy has bilateral talipes ( clubfeet ), He has had both legs in plaster casts from toe to thigh for the first 10 weeks after birth, and after having his Achilles tendons cut has been in boots held in place with a bar for the last 10 weeks. However in 2 weeks time, he will only have to wear the boots at nigh time, which will enable him to be like every other little boy during the day. Any information/advice/experieince of infant aquanatics with babies who have suffered from bilateral talipes ( clubfeet ) would be appreciated.

Thanks

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Mon, Aug 13 2007 5:47 PM In reply to
lizzie33

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being in the water will be great for this little person as it will help to tone and strengthen his little muscles.

a few extras for mum if she is interested. massage is excellant for baby with emphesis on ankles and feet. if there is a baby massage class near by it would be useful for her to attend.

Also from my own experience, as a mum who had a daughter with this problem, if she puts the little boots/or shoes on the wrong feet it will help to strenghten the ankles more quickly. dosen't make any differance to the kids.--even just for a short time

Liz

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Tue, Aug 14 2007 6:48 AM In reply to
Phil

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Re: bilateral talipes ( clubfeet )
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Have taught a couple of children with Bilateral Talipes. One from a baby, other from 5 years old, both have had no problems and are fantastic little swimmers.

Just carry on as normal for infant Aquatics, Problems may arise later on if he wants to be a competitive breastroke swimmer as it is not always possible for those with Bilateral Talipes to dorsi-flex their feet (but this is often true of alot of swimmers who have not got club feet).

I am sure that this little lad plus his mum will gain alot of benefit by attending your classes.

Have fun!

Phil

Infant Aquatics Tutor

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Sat, Aug 18 2007 3:34 AM In reply to
francoisef

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Hi Jane,

Quite a few of the Birthlight Infant Aquatic moves help babies recover after bilateral talipes operations. In particular: moves in the Little Harbour position, circling the feet outwards, then inwards. If the little one is very sensitive about having his feet held or even touched, start by holding the knees, letting the legs free in the rotation. If the baby lets you handle his feet, put your thumbs on the insteps, fingers on top of the feet, and rotate the feet gently several times outwards, then a couple of times inwards, to strengthen the insteps. This is the first most important first phase of recovery, leading to very gentle, gradual manual dorsiflexions while holding the feet loosely. You can do all this with the parent holding the baby in the Little Harbour with legs forwards, or you can also show the parent how to to it herself/himself. Ideally this should be done everyday, either in the water (better) or on land (for example while baby is on a reclining seat or beanbag). The teacher and parent must be smiling, encouraging, comforting to make the baby feel Ok about his feet, which have been a zone of intense suffering through the operations. So these exercises have to be done with a healing intent, with lots of TLC directed at the baby. It's wonderful when you see a baby with this condition gradually relaxing and starting to play with his feet and integrating them again in all the body movements.

Full leg massage from the hips down in long, relaxed strokes (no Indian milking or squeezing of muscles), also help with circulation and body integration. You can do this in the water! Remember to smile and be cheerful as you do it, as this is important for the baby. Little songs that address each toe, once the baby gets more confident, are also good fun (for example, one two three four five, or piggies). If you have the baby in a class, all the other parents can join in too.

Another important thing is not to overfocus on the feet of bilateral talipes babies. So short practices, interspersed in between the Infant Aquatics moves (if the parent is a confident swimmer, swimming with baby will create more closeness after a long separation early on) are best. The baby must be treated in a matter of fact way without expressing concern or showing a lot of attention to his feet.

Most of all, relax, dear Jane, and act from the heart, let the baby show you what he needs, babies always do because the healing response is there. The follow up with Infant Aquatics, Baby Massage and Baby Yoga after operations works a treat.

All best wishes

Francoise

Francoise